Equivalent Certificate Training Program for Gynecologic Robotic Surgery: A Multicenter Feasibility Study

Area of Science:

• Minimally Invasive Surgery
• Surgical Education
• Robotic Surgery

Background:

• Robot-assisted gynecologic surgery adoption is growing globally.
• Standardized training pathways are crucial for safe implementation.
• Japan sought a structured approach for surgeon training in robotic procedures.

Purpose of the Study:

• To assess the feasibility, safety, and short-term effectiveness of a novel society-led, proctor-guided training program.
• To support the supervised initiation of robot-assisted gynecologic surgery for surgeons in Japan.
• To establish an Equivalent Certificate program for robotic surgical training.

Main Methods:

• A multicenter pilot program involved 14 surgeons with no prior da Vinci console experience.
• Training included e-learning, simulator proficiency, bedside assistance, and proctor evaluations.
• Objective performance benchmarks and post-case assessments were utilized.

Main Results:

• Eleven surgeons completed the program, performing at least one robotic procedure without complications.
• Proctor evaluations showed satisfactory performance, with mean scores ranging from 3.09 to 4.55.
• Instrument handling scored highest (4.55), while third-arm control was lower (3.09), reflecting learning curves.

Conclusions:

• The society-led Equivalent Certificate program is a feasible and safe method for introducing robot-assisted gynecologic surgery.
• This structured framework, combining education and supervision, complements existing robotic surgery training.
• The program offers a potential pathway for advancing robotic surgery education in Japan.